Senior Care Records.

Facility Evaluation Report

Kern A.r.f., San Jose09/03/2025Licence 435201710

Capacity6
Census4
Date signed09/03/2025 10:24:02 AM
Name of licensing program analystManuel Monter
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst Manuel Monter conducted a POC case management visit to clear deficiencies cited on August 22, 2025, during the conclusion of a complaint investigation. LPA explained the purpose of the visit.

The Facility was cited the following Type B deficiencies on August 22, 2025

80087 Buildings and Grounds (a), POC due date August 29, 2025.

80068.3 Modifications to Needs and Services Plan (a), POC due date August 29, 2025.

LPA received plan of corrections by POC date. Deficiencies cleared during todays visit. POC cleared letter provided to ADM.

No Deficiencies were cited during todays visit. This report was reviewed with Licensee Helen Caranza via phone call. Staff S1 signed on her behalf.

A copy of this report was provided via email due to technical issues with printer.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction